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Sheet Metal – Journeyperson
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Siding & Decking
Roofing
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Online Member Information Form - Apprentice
Back to Sheet Metal
Step
1
of
6
16%
Member Profile
Name
*
First
Middle
Last
Please enter your full name here.
Sheet Metal Worker's & Roofers' Local 30 Membership Number:
*
Please enter your Union Membership number in this box, it is mandatory.
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Please enter your full address here. This is a mandatory field.
Email
*
Please enter an email address.
Home Phone
Please enter your home phone.
Cell Phone
Please enter your cell phone.
Date of Birth
*
MM slash DD slash YYYY
Please enter your Date of Birth, this is required.
Social Insurance Number
*
Enter your Social Insurance Number here. This is required.
Preferred Methods of Contact
This will be used for all correspondence and work notifications.
Dispatch
Home Phone
Cell Phone
Email
Text
Opt in for all that you wish to have Dispatch contact you with.
Work Permit
Regular Mail
Email
Text
Opt in for all that you wish to have Work Permits sent to you with.
Correspondence
Regular Mail
Email
Text
Opt in for all that you wish to have Correspondence sent to you with.
Certifications and Classifications
Fill in all areas that are applicable to you. VERY IMPORTANT!
OCOT#
*
Please enter your OCTO Number here. This is required.
OCTO Expiry:
*
MM slash DD slash YYYY
Please enter your OCTO Expiry. This is required.
Apprentice Period
1st Year
2nd Year
3rd Year
4th Year
5th Year
List which year of apprenticeship you are at.
Journeyperson Candidate
Yes
No
Enter Yes or No if you are a Journeyperson Candidate.
Written Q of C
Yes
No
Enter Yes or No if you have Written Q of C.
Written Q of C - Successful
Yes
No
Enter Yes or No if you have Written Q of C successfully.
Worker 4 Step Completion Date:
MM slash DD slash YYYY
If you have completed the Workers 4 Step Program enter the date here.
Trade School Completed
Basic Day
Basic Night
Intermediate Day
Intermediate Night
Advanced Day
Advanced Night
List all the Trade School segments you have completed to date.
WHMIS Expiry Date
*
MM slash DD slash YYYY
Enter your WHMIS Expiry Date
Working at Heights Expiry Date
MM slash DD slash YYYY
Enter your Working at Heights Expiry Date
Worker 4 Step Completion Date
MM slash DD slash YYYY
Enter your Worker 4 Step Completion Date
Additional Safety, Training & Certifications (Include all certification name/level and expiry)
Certificate Name
Level of Certification
Expiry Date
Include the Certificate name, Level of Certification (if required) and the Expiry Date of Each. Click the Plus sign at the right to add more and the boxes will appear for you.
Additional Skills & Qualifications
Please include as much information as possible.
Check All That Apply
Shop Only
Plasma Machine
Spiral Machine
Power Brake
Field Only
Coping & Flashing
Foreman Experience
Detailing Experience
Complete each portion carefully.
Gas Ticket:
G1
G2
G3
Please choose the appropriate level.
Gas Ticket Date of Expiry
MM slash DD slash YYYY
Enter your G1, G2 or G3 Gas Ticket Expiry Date here.
Welding
Welding Experience
Mig
Tig
Stick
Check off those that apply.
Mig Ticket
Yes
No
Choose Yes or No
Mig Ticket Name & Number
Enter your Mig Ticket Name and Number
Mig Ticket Expiry Date
MM slash DD slash YYYY
Enter your Mig Ticket Expiry Date
Tig Ticket
Yes
No
Choose Yes or No
Tig Ticket Name & Number
Enter your Tig Ticket Name and Number
Tig Ticket Expiry Date
MM slash DD slash YYYY
Enter your Tig Ticket Expiry Date
Stick Ticket
Yes
No
Choose Yes or No
Stick Ticket Expiry Date
MM slash DD slash YYYY
Enter your Stick Ticket Expiry Date
Hydro Clearance
Yes
No
If you have Hydro Clearance please choose Yes or No.
Hydro Clearane Expiry Date
MM slash DD slash YYYY
Enter your Hydro Clearance Expiry Date.
Special Restrictions
Do you have any restrictions or special requests?
Example: Foreman only, no vehicle, east end only, no down town, etc. The form will open up to provide more space if needed, just keep typing.
License Image Uploads
Please provide images of the front and back of each of your licenses and certificates.
License 1 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your first license.
License 1 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your first license.
License 2 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your second license.
License 2 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your second license.
License 3 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your third license.
License 3 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your third license.
License 4 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your fourth license.
License 4 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your fourth license.
License 5 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your fifth license.
License 5 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your fifth license.
License 6 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your fifth license.
License 6 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your sixth license.
License 7 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your sixth license.
License 7 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your seventh license.
License 8 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your eighth license.
License 8 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your eighth license.
License 9 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your ninth license.
License 9 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your ninth license.
License 10 - Front
Accepted file types: jpg, jpeg, png, gif.
This is the front picture of your tenth license.
License 10 - Back
Accepted file types: jpg, jpeg, png, gif.
This is the back picture of your tenth license.
Release & Confidentiality Statement
Release and Confidentiality Statement: I understand that I am submitting this personal information in confidence to Local 30 for the purposes of facilitating further communications between me and Local 30 and assisting Local 30 in providing membership services. I also understand that this personal information will be shared with third party service providers retained by Local 30 for these purposes, and that Local 30 will take all reasonable precautions to protect the privacy of my personal information that are consistent with these purposes. The aforementioned communications include, but are not limited to, inter-emails, inter-messaging, communications with the Local 30 dues office, administrative communications and any communications relating to planning and coordinating, all of which may be required from time to time. I confirm that all of the information I am providing is current and I further confirm that I am digitally signing this as my release and permission to store information that I provide on Local 30 servers to facilitate such communications between and amongst me, Local 30, other Local 30 members, Local 30 staff, and third party service providers retained by Local 30.
Enter Today's Date
MM slash DD slash YYYY
Enter the current date here.
Acceptance and Submission of Form
*
I Understand & Accept The Terms of This Form
Upon completion you MUST click/tap on the circle below to act as your signature on this form that you are accepting the Release and Confidentiality Statement and by submitting the button, release to Sheet Metal Workers’ & Roofers' Local 30 the information you have provided enabling the Submit Button to act as your release and signature of release. Upon entering the date and understanding the aforementioned terms then please click or tap submit.
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